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FGL CHAIN OF CUSTODY <br /> ENVIRONMENTAL • . Special www.fgUnc.com <br /> Analytical Chernists <br /> Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: <br /> w 3 <br /> Contact Person: Rodney Estrada ro Q ¢ a <br /> � x <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> 00 <br /> Sampler(s) o Z T Q <br /> U * a Q. x <br /> c QO ° w <br /> R. .� x F-' <br /> Sampling Fee: Pickup Fee: =1aS r4_ c 0 t:'nro a <br /> Compositor Setup Date:_/_/ Time: /_ E o, z O ' -' z O z " E <br /> z °'5 <br /> � E aV) o c Q E- <br /> 0 <br /> ti U x x <br /> Lab Number: STK 3-17919 0 w a <br /> : a. � .-. E <br /> a o 9 F a O E <br /> Samp Date Time S fl `=o <br /> " f <br /> Location Description <br /> Num Sampled Sampled o o <br /> U x° <br /> 0 <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone: (805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone: (805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax: (530)343-3807 Fax:(805)783-2912 Fax: (559)734-8435 <br />